Kelly McCallum
Mesquite,TX
Summary
I have worked in the medical collections field for 24 years. My experience is with professional claims, facility claims, pathology claims and anesthesia claims. In addition to insurance credits, patient credits and refunds. My customer service skills are excellent with the insurance companies and patients. My attention to detail and organization skills has made it possible for me to be successful at managing multiple priorities with a positive attitude. I have a willingness to take on added responsibilities to meet team goals. I am a dependable qualified candidate and I would love learn more in my knowledge and grow with GI Alliance.
Overview
24
24
years of professional experience
Work History
Insurance Collections Coordinator II
GI Alliance
07.2000 - Current
- Process insurance denials received by phone dispute, written appeal, or corrected claim
- Review payer rules to understand reason for denial
- Compose correspondence to payer regarding payment disputes and/or appeals
- Interpret progress notes, operative reports, discharge summaries and charge documents to determine services provided
- Communicate with patients to verify correct demographics and coordination of benefits on denied claims; Refile claims as needed
- Refer complex issues to the supervisor for review and or action
- Provide quality service to patients
- Perform other duties as assigned
- Complete provider Task
- Escalation from Vendors
- Coder review work flow
- Payer trends
- Adjustment review
- New patient reversals
- In patient to out patient reversals
- CPT Code reversals
Education
High School Diploma -
W. W. Samuell
8928 Palisade Dr. Dallas, Texas 7521708.1982
Skills
- Communication
- Customer Service
- Relationship Building
- Work Planning and Prioritization
- Multitasking and Organization
- Decision-Making
- Data Entry
- MS Office
- Medical Terminology
- Insurance Verification
- Medical Billing
Reading, writing and socializing with family and friends.
I love reading about health, recipes and autobiographies. I practice journaling. My favorite thing is to cook and be with family and friends.
Timeline
Insurance Collections Coordinator II
GI Alliance
07.2000 - Current
High School Diploma -
W. W. Samuell
Similar Profiles
Marilyn VizcarrondoMarilyn Vizcarrondo
Certified Medical Assistant at Connecticut GI Powered by GI AllianceCertified Medical Assistant at Connecticut GI Powered by GI Alliance
Renoma TownRenoma Town
Coding Auditor & Provider Educator -Remote at GI AllianceCoding Auditor & Provider Educator -Remote at GI Alliance
KIMBERLY McNAMEEKIMBERLY McNAMEE
Revenue Cycle Manager, Call Center at GI AllianceRevenue Cycle Manager, Call Center at GI Alliance
NICHOLAS GROKOSKINICHOLAS GROKOSKI
Laboratory Aide at Gi AllianceLaboratory Aide at Gi Alliance
Candace AlagbadaCandace Alagbada
Transportation Coordinator (Temp) at Impressive Transport ServicesTransportation Coordinator (Temp) at Impressive Transport Services